Individual
DAMETRA VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 WYOMING AVE APT 41, CINCINNATI, OH 45205-1127
(513) 609-9464
Mailing address
1915 WYOMING AVE APT 41, CINCINNATI, OH 45205-1127
(513) 609-9464
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
169496
OH
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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